Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristen Jackson, PTA

Individual provider Physical Therapy Assistant · NPI 1912306176

Kristen Jackson, PTA is a Physical Therapy Assistant in Valrico, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2014
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

3248 Lithia Pinecrest Rd Ste 102
Valrico, FL 33596-5682
Phone: (813) 662-1366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA25124 (FL)

Record details

NPI number1912306176
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedAugust 13, 2014
Last updated in NPPESAugust 13, 2014

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